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Home My WebLink AboutPR20190001601PERMIT #: PR20190001601 44 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: )909) 861-3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.cltVofdlamondbar.com building@diamondbama.gov J013 SITE ADDRESS: 1267 DEERFIELD PL, DIAMOND BAR, CA 9176S APN. 8701037043 LOT# TRACT# OWNER NAME YANGIASON ADDRESS. 1267 DEERFIELD PL CITY DIAMOND BAR ZIP 91765 TEL. <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Certified Roofing Specialists ADDRESS 9281 Larkspur Drive CITY Westminster STATE CA ZIP 92683 TEL 714 323-7481 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 11 Sep 2019 PR#6 PR20190001601 TYPE CONSTRUCTION, OCC GROUP, SCOPE OF WORK: EXISTING TILES WILL BE LIFTED AND ROOF WILL BE RE -FELT #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF ADl AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF $7,0W 00 COMMERCIAL TOTAL VALUATION: TOTAL: $7,000 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION. $223 47 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $46 23 SMIP $0 91 ENERGY RETENTION FEE $1117 PRE/ALT FEE BASF $1 DID PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT* PERMIT SYSTEM REPLACMENT FEE. $8.93 TOTAL FEES: $29171 COMMENTS PAY METHOD. VALIDATION P/C RECEIPT #EIPT MIT R PERECPAY METHOD CHECK 3043 VALIDATION CR # 46454 PERMIT #: INSPECTION RECORD INSPECTION SETBACK / tETTER .. .INSPECTOR: TRACK AND LEDGER FOOTINGS FORMS T•BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POD4/SPA• UFER GROUND GAS TEST, EL. PL, ME SEWER LATERAL PRE GUNTTE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER UNE P•TRAP ROOF SHEATHING FENCE / GATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WA" SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGNENIING WALL STEEL LSTJ I2ND() LIFT NO MECHANICAL WALLORAIN/SEAL NO ELECTRICAL W I j C O WALL FINAL NO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DERARTMENT HOT MOP/SHOWERPAN FMAL PLANNING DRYWALL 10MUPWENGINEERIN6 LATH ENTERIOR FUL6L PW MAINTENANCE LATH INTERIOR FMAt HEALTH DEPT: GAS TEST HALAL MDUSn= WASTE SCRATCH COAT FMAL BURPING ELECTRIC METER RELEASE FINAL MA7FANICAL GAS METER RELEASE FIN& ELECTRCAL SPECIAL INSPECTION FINAL PLENORM SMOKE IS CARBON MONOXIDE DETECTORS TC OF OCCUPANCY CENT OF OCCUPANCY 0 PERMIT #: PR20190001601 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable item(s) [Section 70315, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or she Is exempt from llcensure and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).j. U I as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended or offered for sale. (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the improvements are not Intended or offered for sale If however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.) (_) I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.) U I am exempt from hcensure under the Contractor's State License law for the following reason(s) By my signature glow I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -budder If R has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code Is available upon request when this application is submitted or at the following Web site: http/www.leginfo.ca.gov/calaw.html, SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT. DATE: UCENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect LICENSE CLASS C39 LICENSE NUMBER 956843 EXPIRATION DATE. CONTRACTOR SIGNATURE, WORKERS' COMPENSATION DECLARATION: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a certificate of consentto self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for the performance of the work for which this permit Is Issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: CARRIER STATE COMPENSATION POLICYM EXPIRATION DATE. INSURANCE FUND NAME OF AGENT- 1949902 PHONE #- I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions SIGNATURE OF APPLICANT DATE DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 8172, Civil Code). LENDER'S NAME* LENDER'S ADDRESS By my signature below, I certify to each of the following I am the property owner or authorized to act on the property owner's behalf I have read this application and the information I have provided is correct i agree to comply with all applicable city and county ordinances and state laws relating to building construction I authorize representatives of the City of Diamond Bar to enter the above -identified property for Inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT - DATE.